Home Based Primary Care Registered Nurse (Wytheville)
Veterans Affairs, Veterans Health Administration
Location: Wytheville, Virginia
Internal Number: 630625200
The Salem VAMC is looking for an enthusiastic RN to join the Home Based Primary Care (HBPC) Team! This HBPC RN will be the Case Manager for Veterans within the Lynchburg, VA area and will be accountable for the provision of direct patient care and for delivering quality nursing care to the Veteran at their home. The RN must possess the knowledge and skills to effectively apply all aspects of the nursing process in the management of acute and chronic illnesses and support of the patient. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Lifting/carrying - 45 lbs or more; Standing; Sitting; Walking; Kneeling; Bending/Stooping; Twisting; Pushing/pulling, Both legs required; Simple grasping; Use of fingers, Both hands required; Fine manipulation (includes keyboarding); Reaching above shoulders; Near vision correctable at 13-16" to Jaeger 1 to 4, Far vision correction in one eye to 20/20 and to 20/40 in the other eye; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing whispered voice (with or without aid); Emotional/mental stability; Walking on slippery or uneven walking surfaces; Working with hands in water; Working closely with others; and Protracted or irregular hours of work. ["This position is telework eligible but incumbent must reside near location in order to provide at home visits to patients of the Wytheville area. This position is not 100% virtual. Some duties and responsibilities for the position include but are not limited to: Provides a full range of nursing care to patients in home setting utilizing the nursing process. Completes initial assessments and reassessments of patient condition and response to treatment and other clinical findings; initiates follow-up as needed. Assesses patient's learning needs, develops and implements a plan to meet needs, and instructs patients and families in self-care and treatment measures; modifies approach as indicated. Promotes continuity of care through developing an individualized interdisciplinary plan of care in collaboration with the patient, family and HBPC team; involves community resources as appropriate. Serves as a resource for patient self-determination and acts as a patient advocate when patient self-determination is in question. Maintains professional boundaries with patients, families, employees, and vendors. Serves as a patient advocate, in protecting the health, safety and rights of patients. Promotes practices that enhance Veteran access to care/services, and promotes cost effective use of resources. Utilized established guidelines in accordance with functional statements, performance standards, position description and competencies to evaluate practice. Demonstrates effective communication skills and professional behavior that promotes cooperation and teamwork with internal and external customers. Consults with other health care providers to formulate a collaborative plan of care. Effectively communicates information to appropriate staff in a timely manner, resolving patient care issues. Demonstrates leadership in HBPC quality improvement activities. Identifies opportunities to improve patient care through monitoring, analyzing and evaluating care outcomes. Communicate and interact appropriately and courteously with all internal and external customers. Maintain confidentiality of electronic, written, and/or verbal patient/employee information. Demonstrate working practices that include adherence to Infection Control standards and the safe use and operation of equipment. Conforms with all medical center and service/service line safety policies, procedures and protocols to avoid injury and/or illness to self and others. Preferred Experience: Home health experience preferred Work Schedule: Full Time; M-F 7:45 am to 4:30 pm\nTelework Indicator: Regularly teleworks, At home patient visits are required\nFinancial Discloser Report: Not required\nPay: Competitive salary, annual performance bonus, regular salary increases.\nPaid Time Off: Receive 13 to 26 days paid time off per year, not to include 10 paid federal holidays; and 13 sick days annual with no limitation on accumulation.\nRetirement: Traditional federal pension (5 years' vesting) and federal 401K with up to 5% in contributions by VA.\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement).\nFor More Information on Benefits: https://www.vacareers.va.gov/Benefits/EmploymentBenefits"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.